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Clinical Negligence Claims Against Vascular Surgery in the United Kingdom: An Observational Study

Vivak Hansrani1, Tamer Ghatwary Tantawy2, Haytham Al-Khaffaf1

  • 1Department of Vascular Surgery, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Blackburn, UK.

Annals of Vascular Surgery
|September 18, 2020
PubMed

Insights

Clinical negligence claims in UK vascular surgery are rising, with delayed treatment causing the most litigation. Lower limb amputations are the most frequent injury leading to claims.

Area of Science:

  • Medical Law and Ethics
  • Surgical Outcomes
  • Patient Safety

Background:

  • Clinical negligence claims are increasing in the UK, costing billions annually.
  • Vascular surgery has a disproportionately high rate of clinical negligence claims.
  • The NHS resolution service reported a record number of claims mediated in 2017.

Purpose of the Study:

  • To review trends in clinical negligence claims within UK vascular surgery.
  • To evaluate the primary causes and financial costs associated with these claims.

Main Methods:

  • A retrospective observational study analyzed claims from April 2005 to April 2019.
  • Data were obtained from NHS resolution via the Freedom of Information Act.
  • Claims data were anonymized, with categories under five claims removed.

Main Results:

  • 1,189 vascular surgery claims were identified over 13 years, averaging 91 claims annually.
  • 74% of claims resulted in payments, with a mean annual total payment of over £10 million.
  • Delayed treatment was the most common cause for claims (£33M), while lower limb amputation was the most frequent injury (£64M).

Conclusions:

  • Vascular surgery clinical negligence claims show a steady increase in the UK.
  • Delayed treatment and lower limb amputation are key drivers of claims and costs.
  • Improved patient consent, communication, and surgical skill may reduce future claims.
Abstract

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